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		<title></title>
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		<header class="ui-header ui-header-stable ui-border-b">
		    <i class="ui-icon-return" onclick="history.back()"></i>
		    <h1>退货物流</h1>
		    <button class="ui-btn">退货帮助</button>
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		        <div class="ui-form-item ui-border-b">
		            <label>物流公司</label>
		            <input type="text" placeholder="物流公司名称">
		            <a href="#" class="ui-icon-close"></a>
		        </div>
		        <div class="ui-form-item ui-border-b">
		            <label>运单号</label>
		            <input type="text" placeholder="快递公司运单号">
		            <a href="#" class="ui-icon-close"></a>
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		        <div class="ui-form-item ui-form-item-textarea">
		            <label>备注</label>
		            <textarea placeholder="如有多个包裹寄回，请注明其运单信息"></textarea>
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